Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,002.46 / $4,962.67 / $15,341.00	Facility		$2,002.46	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,872.89 / $2,193.76 / $2,631.88	Professional		$1,872.89	$2,193.76	$2,631.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,276.24 / $1,795.36 / $2,331.55	Facility		$1,276.24	$1,795.36	$2,331.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,335.28 / $1,839.82 / $2,049.53	Facility		$1,335.28	$1,839.82	$2,049.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.72 / $1,820.32 / $2,600.04	Facility		$1,258.72	$1,820.32	$2,600.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,644.37 / $18,493.50 / $25,243.99	Facility		$3,644.37	$18,493.50	$25,243.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00